I give consent for my child mentioned above to participate in the above activities, and I execute the above liability release on their behalf.

Medical
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I acknowledge that at least one CPR/First Aid/AED certified volunteer will be present during the week to assist as needed. I give consent for my child to receive Tylenol if needed I give permission for my child to receive first aid treatment if injured during recreational activities if needed. I give permission for my child to receive medical care treatment in the event of an emergency if needed.

Liability and Parent Release
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In consideration of the acceptance of my registration for the above program, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or other which may hereafter occur to me or my child as a result of participation in events. This release is intended to discharge in advance CKM International Church of Faith and Johnson County Pioneer & Settlers Reunion, its officials, officers, employees, volunteers and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assignees.

Photo Release
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I hereby authorize CKM International Church of Faith to publish the photographs taken of me and/or the undersigned minor children, and our names, for use in the church website and for display in its facilities. I release CKM International Church of Faith from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize CKM International Church of Faith to use their photographs and names. I acknowledge that since participation in publications and websites produced by CKM International Church of Faith is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by CKM International Church of Faith confers no rights of ownership whatsoever. I release CKM International Church of Faith, its contractors, volunteers and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children including but not limited to: photographs, videos, publications and names.

Terms & Conditions
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I have read and understood the foregoing registration liability release and parental consent form, and agree to all of its terms and conditions.

Student Full Name

Parent Full Name

First Name Last Name

E-Signature
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Is you child taking any prescription medications? If yes, please list them below

All medications must have correct prescription label to be brought on the trip.